Polyurethane foam film dressing sterile without adhesive border 10cm x 20cm rectangular

SNOMED code: 3133311000001104
Preferred name basis: Other
Prescribable: Never Valid To Prescribe As A VMP
Dose form: Not applicable
Ingredients
Form & Route
Controlled drug: No Controlled Drug Status

Products

GBUK Foam dressing 10cm x 20cm rectangular (GBUK Healthcare)

GBUK Foam dressing 10cm x 20cm rectangular

SNOMED code: 45701511000001101
Supplier: GBUK Healthcare
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
GBUK Foam dressing 10cm x 20cm rectangular (GBUK Healthcare) 1 dressing `45701611000001102` ref. pack	💯 Available	`06938056216158` 1 Mar 2026	NHS Indicative Price £1.82	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)
GBUK Foam dressing 10cm x 20cm rectangular (GBUK Healthcare) 10 dressing `45701711000001106` ref. pack	💯 Available	`16938056216155` 1 Mar 2026	No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff)

Allevyn dressing (non-adhesive) 10cm x 20cm rectangular (Smith & Nephew Healthcare Ltd)

previously Allevyn dressing (non adhesive) 10cm x 20cm rectangular

Allevyn dressing (non-adhesive) 10cm x 20cm rectangular

SNOMED code: 736311000001105
Named: 19 Mar 2004
Supplier: Smith & Nephew Healthcare Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Allevyn dressing (non-adhesive) 10cm x 20cm rectangular (Smith & Nephew Healthcare Ltd) 1 dressing `1714611000001102` ref. pack	💯 Available		NHS Indicative Price 1 Oct 2025 £4.44 previously: £4.40	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)
Allevyn dressing (non-adhesive) 10cm x 20cm rectangular (Smith & Nephew Healthcare Ltd) 10 dressing `7703711000001105` ref. pack	💯 Available	`5000223411442` 19 Jan 2010	No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff) effective: 20 Sep 2004 previously: Not allowed (not in Drug Tariff)

Tegaderm Foam dressing 10cm x 20cm rectangular (3M Health Care Ltd)

previously 3M Foam dressing 10cm x 20cm rectangular

Tegaderm Foam dressing 10cm x 20cm rectangular

SNOMED code: 4712811000001100
Named: 1 Oct 2006
Supplier: 3M Health Care Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Tegaderm Foam dressing 10cm x 20cm rectangular (3M Health Care Ltd) 1 dressing `4712911000001105` ref. pack	💯 Available		NHS Indicative Price 1 Feb 2025 £3.99 previously: £3.93	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff) effective: 1 Aug 2003 previously: Not allowed (not in Drug Tariff)
Tegaderm Foam dressing 10cm x 20cm rectangular (3M Health Care Ltd) 5 dressing `7681011000001102` ref. pack	💯 Available		No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff) effective: 20 Sep 2004 previously: Not allowed (not in Drug Tariff)

Biatain Non-Adhesive dressing 10cm x 20cm rectangular (Coloplast Ltd)

Biatain Non-Adhesive dressing 10cm x 20cm rectangular

SNOMED code: 9354411000001100
Supplier: Coloplast Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Biatain Non-Adhesive dressing 10cm x 20cm rectangular (Coloplast Ltd) 1 dressing `9354511000001101` ref. pack	💯 Available		NHS Indicative Price 1 Sep 2025 £4.35 previously: £4.31	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)
Biatain Non-Adhesive dressing 10cm x 20cm rectangular (Coloplast Ltd) 5 dressing `9354611000001102` ref. pack	💯 Available		No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff)

Advazorb dressing 10cm x 20cm rectangular (Advancis Medical)

Advazorb dressing 10cm x 20cm rectangular

SNOMED code: 10078011000001100
Supplier: Advancis Medical
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Advazorb dressing 10cm x 20cm rectangular (Advancis Medical) 1 dressing `10078211000001105` ref. pack	Reinstated 1 Nov 2011	`5060031474664` 9 Dec 2015	NHS Indicative Price 1 Dec 2024 £3.77 previously: £3.75	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff) effective: 1 Nov 2011 previously: Not allowed (not in Drug Tariff)
Advazorb dressing 10cm x 20cm rectangular (Advancis Medical) 10 dressing `10078611000001107` ref. pack	Reinstated 1 Nov 2011	`5060031474671` 9 Dec 2015	No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff) effective: 1 Nov 2011 previously: Not allowed (not in Drug Tariff)

Kendall AMD Antimicrobial foam dressing 10cm x 20cm rectangular (Mediq Healthcare UK Ltd)

Kendall AMD Antimicrobial foam dressing 10cm x 20cm rectangular

SNOMED code: 15566811000001106
Supplier: Mediq Healthcare UK Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Kendall AMD Antimicrobial foam dressing 10cm x 20cm rectangular (Mediq Healthcare UK Ltd) 1 dressing `15566911000001101` ref. pack	💯 Available		NHS Indicative Price 1 Jul 2025 £9.27 previously: £9.19	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)
Kendall AMD Antimicrobial foam dressing 10cm x 20cm rectangular (Mediq Healthcare UK Ltd) 10 dressing `15567011000001102` ref. pack	💯 Available		No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff)

ActivHeal Non-Adhesive Foam polyurethane dressing 10cm x 20cm rectangular (Advanced Medical Solutions Ltd)

ActivHeal Non-Adhesive Foam polyurethane dressing 10cm x 20cm rectangular

SNOMED code: 21561711000001109
Supplier: Advanced Medical Solutions Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
ActivHeal Non-Adhesive Foam polyurethane dressing 10cm x 20cm rectangular (Advanced Medical Solutions Ltd) 1 dressing `21561811000001101` ref. pack	💯 Available		NHS Indicative Price 1 Feb 2026 £2.46 previously: £2.43	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)
ActivHeal Non-Adhesive Foam polyurethane dressing 10cm x 20cm rectangular (Advanced Medical Solutions Ltd) 10 dressing `21561911000001106` ref. pack	💯 Available	`5032749000206` 10 Mar 2015	No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff)

ActivHeal PHMB Foam Non-Adhesive dressing 10cm x 20cm rectangular (Advanced Medical Solutions Ltd)

ActivHeal PHMB Foam Non-Adhesive dressing 10cm x 20cm rectangular

SNOMED code: 33779711000001106
Supplier: Advanced Medical Solutions Ltd
Licensed as: Devices
Availability restrictions: None

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
ActivHeal PHMB Foam Non-Adhesive dressing 10cm x 20cm rectangular (Advanced Medical Solutions Ltd) 1 dressing `33779811000001103` ref. pack	💯 Available	`15032749027545` 14 Dec 2022	NHS Indicative Price 1 Feb 2026 £7.4 previously: £6.94	• Nurse Formulary	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Allowed (in Drug Tariff)
ActivHeal PHMB Foam Non-Adhesive dressing 10cm x 20cm rectangular (Advanced Medical Solutions Ltd) 10 dressing `33779911000001108` ref. pack	💯 Available	`25032749021366` 1 Feb 2017 End: 13 Dec 2022`5032749027548` 14 Dec 2022	No Price Available	• Nurse Formulary	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Allowed (in Drug Tariff)

Comfifoam dressing (non-adhesive) 10cm x 20cm rectangular (Synergy Health (UK) Ltd)

Comfifoam dressing (non-adhesive) 10cm x 20cm rectangular

SNOMED code: 9430811000001102
Supplier: Synergy Health (UK) Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Comfifoam dressing (non-adhesive) 10cm x 20cm rectangular (Synergy Health (UK) Ltd) 1 dressing `9430911000001107` ref. pack	Discontinued 30 Jun 2008		No Price Available 1 Oct 2008 previously: £3.5	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Oct 2008 previously: Allowed (in Drug Tariff)
Comfifoam dressing (non-adhesive) 10cm x 20cm rectangular (Synergy Health (UK) Ltd) 10 dressing `9431011000001104` ref. pack	Discontinued 30 Jun 2008		No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Oct 2008 previously: Allowed (in Drug Tariff)

Biatain Soft-Hold dressing 10cm x 20cm rectangular (Coloplast Ltd)

Biatain Soft-Hold dressing 10cm x 20cm rectangular

SNOMED code: 9848011000001100
Supplier: Coloplast Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Biatain Soft-Hold dressing 10cm x 20cm rectangular (Coloplast Ltd) 1 dressing `9848111000001104` ref. pack	Discontinued 1 Nov 2023		No Price Available 1 Feb 2024 previously: £4.28	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Feb 2024 previously: Allowed (in Drug Tariff)
Biatain Soft-Hold dressing 10cm x 20cm rectangular (Coloplast Ltd) 5 dressing `9848211000001105` ref. pack	Discontinued 1 Nov 2023	`5708932225830` 4 Mar 2010	No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Feb 2024 previously: Allowed (in Drug Tariff)

365 Foam dressing 10cm x 20cm rectangular (365 Healthcare Ltd)

365 Foam dressing 10cm x 20cm rectangular

SNOMED code: 36942811000001109
Supplier: 365 Healthcare Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
365 Foam dressing 10cm x 20cm rectangular (365 Healthcare Ltd) 1 dressing `36942911000001104` ref. pack	Discontinued 1 Apr 2025		No Price Available 1 Jul 2025 previously: £2	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Jul 2025 previously: Allowed (in Drug Tariff)
365 Foam dressing 10cm x 20cm rectangular (365 Healthcare Ltd) 10 dressing `36942611000001105` ref. pack	Discontinued 1 Apr 2025		No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Jul 2025 previously: Allowed (in Drug Tariff)

Askina Foam dressing 10cm x 20cm rectangular (B.Braun Medical Ltd)

Askina Foam dressing 10cm x 20cm rectangular

SNOMED code: 12120311000001104
Supplier: B.Braun Medical Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Askina Foam dressing 10cm x 20cm rectangular (B.Braun Medical Ltd) 1 dressing `12120411000001106` ref. pack	Discontinued 1 Nov 2023		No Price Available 1 Feb 2024 previously: £3.77	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Feb 2024 previously: Allowed (in Drug Tariff)
Askina Foam dressing 10cm x 20cm rectangular (B.Braun Medical Ltd) 10 dressing `12120511000001105` ref. pack	Discontinued 1 Nov 2023		No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Feb 2024 previously: Allowed (in Drug Tariff)

Kendall Foam dressing 10cm x 20cm rectangular (H & R Healthcare Ltd)

previously Kendall dressing 10cm x 20cm rectangular

Kendall Foam dressing 10cm x 20cm rectangular

SNOMED code: 12836211000001100
Named: 1 Dec 2012
Supplier: H & R Healthcare Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Kendall Foam dressing 10cm x 20cm rectangular (H & R Healthcare Ltd) 1 dressing `12836411000001101` ref. pack	Discontinued 1 Sep 2022		No Price Available 1 Dec 2022 previously: £2.10	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Dec 2022 previously: Allowed (in Drug Tariff)
Kendall Foam dressing 10cm x 20cm rectangular (H & R Healthcare Ltd) 10 dressing `12852911000001106` ref. pack	Discontinued 1 Sep 2022		No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Dec 2022 previously: Allowed (in Drug Tariff)

Kendall Foam Plus dressing 10cm x 20cm rectangular (H & R Healthcare Ltd)

previously Kendall Plus dressing 10cm x 20cm rectangular

Kendall Foam Plus dressing 10cm x 20cm rectangular

SNOMED code: 12840511000001103
Named: 1 Dec 2012
Supplier: H & R Healthcare Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Kendall Foam Plus dressing 10cm x 20cm rectangular (H & R Healthcare Ltd) 1 dressing `12840611000001104` ref. pack	Discontinued 1 Sep 2022		No Price Available 1 Dec 2022 previously: £2.75	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Dec 2022 previously: Allowed (in Drug Tariff)
Kendall Foam Plus dressing 10cm x 20cm rectangular (H & R Healthcare Ltd) 10 dressing `12853711000001101` ref. pack	Discontinued 1 Sep 2022		No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Dec 2022 previously: Allowed (in Drug Tariff)

Allevyn Lite dressing 10cm x 20cm rectangular (Smith & Nephew Healthcare Ltd)

previously Allevyn LM dressing (non adhesive) 10cm x 20cm rectangular

Allevyn Lite dressing 10cm x 20cm rectangular

SNOMED code: 449811000001103
Named: 1 Feb 2003
Supplier: Smith & Nephew Healthcare Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Allevyn Lite dressing 10cm x 20cm rectangular (Smith & Nephew Healthcare Ltd) 1 dressing `1714311000001107` ref. pack	Discontinued 1 Aug 2016		No Price Available 1 Nov 2016 previously: £3.51	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Nov 2016 previously: Allowed (in Drug Tariff)
Allevyn Lite dressing 10cm x 20cm rectangular (Smith & Nephew Healthcare Ltd) 10 dressing `7700311000001100` ref. pack	Discontinued 1 Aug 2016	`5000223439415` 19 Jan 2010	No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Nov 2016 previously: Allowed (in Drug Tariff)

Curafoam Plus dressing 10cm x 20cm rectangular (Covidien (UK) Commercial Ltd)

Curafoam Plus dressing 10cm x 20cm rectangular

SNOMED code: 244011000001109
Supplier: Covidien (UK) Commercial Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Curafoam Plus dressing 10cm x 20cm rectangular (Covidien (UK) Commercial Ltd) 1 dressing `2347311000001109` ref. pack	Discontinued 1 Dec 2006		No Price Available 1 Dec 2006 previously: £3.20	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Dec 2006 previously: Allowed (in Drug Tariff)
Curafoam Plus dressing 10cm x 20cm rectangular (Covidien (UK) Commercial Ltd) 25 dressing `7739011000001104` ref. pack	Discontinued 1 Dec 2006		No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Dec 2006 previously: Allowed (in Drug Tariff)

Hydrafoam dressing 10cm x 20cm rectangular (Covidien (UK) Commercial Ltd)

Hydrafoam dressing 10cm x 20cm rectangular

SNOMED code: 311311000001105
Supplier: Covidien (UK) Commercial Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Hydrafoam dressing 10cm x 20cm rectangular (Covidien (UK) Commercial Ltd) 1 dressing `2348911000001106` ref. pack	Discontinued 1 Dec 2006		No Price Available 1 Dec 2006 previously: £3.10	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Dec 2006 previously: Allowed (in Drug Tariff)
Hydrafoam dressing 10cm x 20cm rectangular (Covidien (UK) Commercial Ltd) 10 dressing `7750811000001102` ref. pack	Discontinued 1 Dec 2006		No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Dec 2006 previously: Allowed (in Drug Tariff)

Advazorb Lite dressing 10cm x 20cm rectangular (Advancis Medical)

Advazorb Lite dressing 10cm x 20cm rectangular

SNOMED code: 19572611000001109
Supplier: Advancis Medical
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Advazorb Lite dressing 10cm x 20cm rectangular (Advancis Medical) 1 dressing `19572811000001108` ref. pack	Discontinued 1 Jun 2022	`5060031474909` 9 Dec 2015	No Price Available 1 Sep 2022 previously: £3.16	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Sep 2022 previously: Allowed (in Drug Tariff)
Advazorb Lite dressing 10cm x 20cm rectangular (Advancis Medical) 10 dressing `19578511000001107` ref. pack	Discontinued 1 Jun 2022	`5060031474916` 9 Dec 2015	No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Sep 2022 previously: Allowed (in Drug Tariff)

PermaFoam dressing (non-adhesive) 10cm x 20cm rectangular (Paul Hartmann Ltd)

previously PermaFoam dressing without adhesive border 10cm x 20cm rectangular

PermaFoam dressing (non-adhesive) 10cm x 20cm rectangular

SNOMED code: 7621511000001100
Named: 22 Jul 2005
Supplier: Paul Hartmann Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
PermaFoam dressing (non-adhesive) 10cm x 20cm rectangular (Paul Hartmann Ltd) 1 dressing `7621611000001101` ref. pack	Discontinued 1 Nov 2019	`4049500586351` 15 Jul 2013	No Price Available 1 Feb 2020 previously: £3.76	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Feb 2020 previously: Allowed (in Drug Tariff)
PermaFoam dressing (non-adhesive) 10cm x 20cm rectangular (Paul Hartmann Ltd) 5 dressing `7865411000001104` ref. pack	Discontinued 1 Nov 2019	`4049500255769` 15 Feb 2010	No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Feb 2020 previously: Allowed (in Drug Tariff)

Suprasorb M dressing (non-adhesive) 10cm x 20cm rectangular (L&R Medical UK Ltd)

Suprasorb M dressing (non-adhesive) 10cm x 20cm rectangular

SNOMED code: 9134811000001108
Supplier: L&R Medical UK Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Suprasorb M dressing (non-adhesive) 10cm x 20cm rectangular (L&R Medical UK Ltd) 1 dressing `9134911000001103` ref. pack	Discontinued 21 Oct 2010	`4021447013541` 30 Mar 2010	No Price Available 1 Feb 2011 previously: £3.14	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Feb 2011 previously: Allowed (in Drug Tariff)
Suprasorb M dressing (non-adhesive) 10cm x 20cm rectangular (L&R Medical UK Ltd) 5 dressing `9135011000001103` ref. pack	Discontinued 21 Oct 2010	`4021447204512` 30 Mar 2010	No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Feb 2011 previously: Allowed (in Drug Tariff)

Lyofoam Max dressing 10cm x 20cm rectangular (Molnlycke Health Care Ltd)

Lyofoam Max dressing 10cm x 20cm rectangular

SNOMED code: 19673611000001109
Supplier: Molnlycke Health Care Ltd
Licensed as: Devices
Availability restrictions: Not available

Pack name & code	Status	GTIN, EAN barcodes	Price	Prescribing	Reimbursement	Pack
Lyofoam Max dressing 10cm x 20cm rectangular (Molnlycke Health Care Ltd) 1 dressing `19673711000001100` ref. pack	Discontinued 1 Aug 2023		No Price Available 1 Nov 2023 previously: £2.10	—	• Prescription Charges • Dispensing Fees • Special container	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Nov 2023 previously: Allowed (in Drug Tariff)
Lyofoam Max dressing 10cm x 20cm rectangular (Molnlycke Health Care Ltd) 10 dressing `19673811000001108` ref. pack	Discontinued 1 Aug 2023		No Price Available	—	• Prescription Charges • Dispensing Fees	Appliance Reimbursement status: Not allowed (not in Drug Tariff) effective: 1 Nov 2023 previously: Allowed (in Drug Tariff)